Please Print and Complete Fully

Revised 1/26/15

APPLICATION FOR EMPLOYMENT 660 Vista Way Milpitas, CA 95035 Ph: (408) 284-7300 Fax: (408) 284-7307 PERSONAL

PLEASE PRINT AND COMPLETE FULLY

LAST NAME FIRST NAME MIDDLE INITIAL PRIMARY ADDRESS CITY AND STATE ZIP CODE

MAIL ADDRESS CITY AND STATE ZIP CODE

SOCIAL SECURITY NUMBER HOME BUSINESS YES (Please Provide) PHONE PHONE NO OTHER NAMES UNDER WHICH YOU HAVE BEEN EMPLOYED OR ATTENDED If hired, proof of current and unrestricted right to work for any and all U.S. employers will be SCHOOL required. Can you show evidence of current and unrestricted right to work for any and all U.S. Employers? NO Yes ARE YOU 18 YEARS OF AGE OR DRIVERS LICENSE NUMBER STAT TYPE OF EMPLOYMENT DESIRED OLDER? NO YES (Please Provide) E FULL TIME PART TIME INTERN YES NO TEMPORARY POSITION APPLIED FOR: CURRENT SALARY DATE SALARY EXPECTED AVAILABLE

GENERAL INFORMATION HAVE YOU APPLIED AT DAYLIGHT PRODUCE IF “YES”, GIVE DATE AND POSITION APPLIED FOR HAVE YOU EVER BEEN EMPLOYED AT BEFORE? DAYLIGHT PRODUCE?

YES NO YES NO CHECK THE SOURCE THAT LED TO YOUR (1) (4) DAYLIGHT PRDOUCE MANAGER (7) EMPLOYEE REFERRAL (10) OTHER: APPLICATION OR ADVERTISEMENT (5) PROFESSIONAL ORGANIZATION REFERRAL TO DAYLIGHT (8) UNIVERSITY (2) WEBSITE (6) INTERNET/DAYLIGHT PRDOUCE PRDOUCE (9) TEMP TO REGULAR ______(3) AGENCY WEBSITE (VOLUNTARY) IF REFERRED BY A DAYLIGHT EMPLOYEE, PLEASE LIST HIS/HER NAME

NAMES OF RELATIVES EMPLOYED AT DAYLIGHT AND RELATIONSHIPS

1) Have you been convicted of a felony (excluding any sealed, dismissed or expunged conviction): Please note: Criminal convictions do not automatically disqualify you from employment at Daylight Foods NO YES

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2) ONLY IF DRIVING IS REQUIRED FOR YOUR POSITION please answer whether, within the last 5 years have you been convicted of reckless driving, driving to endanger, or vehicular homicide? NO YES

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1 Revised 1/26/15

EDUCATION SCHOOL UNITS DEGREE, DIPLOMA, SEM QTR COURSE DATE INSTITUTION NAME/LOCATION/CAMPUS COMPLETE CERTIFICATION . . OF MAJOR RECEIVED D RECEIVED

HIGH SCHOOL/GED

TECHNICAL SCHOOL, TRADE OR BUSINESS COLLEGE

COLLEGE

GRADUATE SCHOOL(S)

EMPLOYMENT HISTORY START DATE: MO/YR. FINISH DATE: MO/YR

CURRENT OR LAST POSITION PRESENT OR ENDING BASE STARTING BASE SALARY DATE OF LAST SALARY INCREASE SALARY

HOURS PER WEEK TYPE, AMOUNT AND FREQUENCY OF OTHER COMPENSATION (E.G., COMMISSIONS, BONUS, PROFIT SHARING, ETC.)

BRIEFLY DESCRIBE YOUR PRIMARY ASSIGNMENTS AND RESPONSIBILITIES

IF STILL EMPLOYED, MAY WE CONTACT YOUR SUPERVISOR’S NAME, TITLE, AND PHONE NUMBER EMPLOYER? YES NO REASON FOR SEEKING ALTERNATIVE EMPLOYMENT

NAME AND LOCATION OF ORGANIZATION START DATE: MO/YR. FINISH DATE: MO/YR.

CURRENT OR LAST POSITION PRESENT OR ENDING BASE SALARY STARTING BASE SALARY HOURS PER WEEK

TYPE, AMOUNT AND FREQUENCY OF OTHER COMPENSATION (E.G., COMMISSIONS, BONUS, PROFIT SHARING, ETC.)

SUPERVISOR’S NAME, TITLE, AND PHONE NUMBER

REASON FOR SEEKING ALTERNATIVE EMPLOYMENT

NAME AND LOCATION OF ORGANIZATION START DATE: MO/YR. FINISH DATE: MO/YR.

2 Revised 1/26/15 CURRENT OR LAST POSITION PRESENT OR ENDING BASE SALARY STARTING BASE SALARY HOURS PER WEEK

TYPE, AMOUNT AND FREQUENCY OF OTHER COMPENSATION (E.G., COMMISSIONS, BONUS, PROFIT SHARING, ETC.)

SUPERVISOR’S NAME, TITLE, AND PHONE NUMBER

REASON FOR SEEKING ALTERNATIVE EMPLOYMENT

SPECIAL SKILLS

LIST SPECIAL SKILLS (LAB EQUIPMENT, COMPUTER LANGUAGES, LANGUAGE SKILLS, ETC.) RELEVANT TO THE POSITION.

REFERENCES NOTE: PLEASE INCLUDE A FORMER MANAGER(S), SUPERVISOR(S) AND PROFESSIONAL REFERENCES. PLEASE DO NOT INCLUDE NAMES OF RELATIVES OR PERSONS WITH WHOM YOU LIVE.

1 NAME TITLE ORGANIZATION

ADDRESS

PHONE NUMBER E-MAIL ADDRESS RELATIONSHIP

ADDRESS

CERTIFICATION

PLEASE READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SIGNING THIS APPLICATION.

I certify that all statements I have made on this application, any attachments hereto, or on my resume or other supplementary materials are true and correct. I recognize that any misstatement, falsification, or material omission of information I have made may result in my failure to receive an offer, or, in the event I am hired, subject to perjury and subject me to be discharged at any time. I hereby authorize Daylight Foods, Inc., its employees and agents, to investigate the accuracy of the information I have provided by contacting any person or organization, and I release Daylight Foods, all persons acting on its behalf, and all persons and organizations providing information from all claims and liabilities of any nature arising from such investigation or the supplying of information for such investigation. I specifically authorize investigation of my motor vehicle record, criminal record, and consumer credit history. I understand and agree that employment with Daylight Foods is conditional upon the satisfactory results of such investigation, and upon my execution of the Daylight Foods Proprietary Information Agreement and also upon acceptable proof of current and unrestricted right to work in the United States.

3 Revised 1/26/15 I also understand that any offer of employment by Daylight Foods is not to be construed as a contract of employment for any particular time, and that either Daylight Foods, Inc or I may terminate my employment at any time and for any reason with or without cause, and with or without notice, while other terms of my employment may change from time to time, I understand that the at–will nature of the employment relationship can only be changed by a written agreement signed by the vice president and by me.

I also certify that I can read and understand English and have read and fully understand all items in this employment application.

______APPLICANT’S SIGNATURE DATE Please Note: COMPANY considers applications for only a 30-day period. If you wish to be considered after 30 days from the date of application, please reapply.

Daylight Foods’ policy is to fill every position without regard to race, color, religion, sex, marital status, age, disability, medical condition, sexual orientation or any other consideration made unlawful by federal, state, or local laws. Daylight Food’s is an equal opportunity employer and selects employees on the basis of ability, experience, training and character.

VOLUNTARY AFFIRMATIVE ACTION INFORMATION To assist Daylight Foods, Inc. in our dedication to Affirmative Action, please provide this voluntary, confidential Information.

This form will be detached and filed apart from your employment application.

AN EQUAL OPPORTUNITY EMPLOYER

CONFIDENTIAL VOLUNTARY EEO SELF-IDENTIFICATION FORM

NAME DATE

POSITION APPLIED FOR JOB LISTING NUMBER

PLEASE NOTE THAT EMPLOYMENT DECISIONS WILL NOT BE BASED UPON WHETHER OR NOT YOU PROVIDE THIS INFORMATION. THIS IS VOLUNTARY.

4 Revised 1/26/15 GENDER MALE FEMALE PLEASE CHECK ANY OF THE FOLLOWING ITEMS THAT ARE APPLICABLE TO YOU: CAUCASIAN All persons having origin in any of the original peoples of Europe, DISABLED North Africa, or the An individual with a “disability” is one who has a physical or mental Middle East, not of Hispanic origin. impairment that substantially limits one or more major life activities, has a record of

AFRICAN AMERICAN such an impairment,

All persons having origin in any of the black racial groups of Africa, or who is regarded as having such an impairment not of Hispanic origin. HISPANIC VETERAN OF THE VIETNAM ERA All persons of Mexican, Puerto Rican, Cuban, Central or South A person who has served on active duty for a period of more than American or other 180 days, any part of Spanish culture or origin, regardless of race. which occurred between August 5, 1964 and May 7, 1975, and was discharged or released therefrom with other than a dishonorable discharge.

ASIAN OR PACIFIC ISLANDER SPECIAL DISABLED VETERAN All persons having origins in any of the original peoples of the Far A veteran entitled to disability compensation under laws East, Southeast Asia, administered by the Veterans the subcontinent of India, or the Pacific Islands. This area includes, Administration for disability rated at 30% or more, or a person who for example, China, was discharged or Japan, Korea, the Philippines Islands, and Samoa. released from active duty for a disability incurred or aggravated in the line of duty. NATIVE AMERICANS/ALASKAN NATIVE OTHER VETERAN All persons having origins in any of the original peoples of North A person who has served on active duty during a war or in a America and who campaign or expedition in Maintain cultural identification through tribal affiliation or community which a campaign badge has been authorized. recognition.